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ITY OF ORONO - BUILDING PERMIT APPLICATION <br /> Total Fee: $ /,(,° /) ' /g Date Received: /8// <br /> Date Approved: <br /> Entered By: rS Permit#: 45-(I,0 <br /> ALL INFORMATION MUST BE SUBMITTED IN FULL BEFORE PLAN REVIEW WILL BE STARTED <br /> (See Check-off List Enclosed) <br /> THE APPLICANT IS: (circle one) OWNER or CONTRACTOR <br /> JOB SITE ADDRESS: 9- 5-4 (-Jo:14-- LI ti.t, I 4 ZIP: <br /> (work) 670-3«0 <br /> NAME OF OWNER: 11 (12,L.1.. 6/v Cl— PHONE: (home) 'n Z '_ <br /> MAILING ADDRESS: / -7 - 5---<f Z1 (-4 cc,_ C=-E_ CITY: L-21.1 .-J, ( 4, ZIP: 6 Y <br /> 3C41) <br /> CONTRACTOR: Am - - C O -- --`�c...- PHONE: s 3 ) <br /> MAILING ADDRESS: 5 a v2., s „,v e CITY: ZIP: <br /> STATE LICENSE: # L 3 <br /> ARCHITECT/ENGINEER: PeLL) ( (/ L a C-be�, PHONE: 1 (I '7-6-4c5-7 <br /> MAILING ADDRESS: J(-7/ Alof o-, $f. CITY: _ ZIP: 25-5W -47 <br /> NAME: REGISTRATION # <br /> TYPE OF WORK: New ; Addition Accessory Structure Move <br /> Demo Remode /Alteration Renovate Land Alteration <br /> PROPOSED WORK (describe in detail) : e 4 l .t' `(� `t ;` '�`'`'t� <br /> y � <br /> STORIES: SQ. FEET OF EACH FLOOR: I T5 t) �� A.- 2,-._I / //v <br /> v <br /> NO. OF BEDROOMS: ,3 GARAGE STALLS: ATT. X DET. <br /> ESTIMATED CONSTRUCTION VALUATION (excluding land) : $ / O b,'J 0 G <br /> I hereby apply for a building permit and I acknowledge that the information <br /> above is complete and accurate; that the work will be in conformance with the <br /> ordinances and codes of the City and with the State Building Code; that I <br /> understand this is not a permit and work is not to start without a permit; and <br /> that the work will be in accordanc 'th the approved plan. <br /> -� - DATE: `3 ' 77 <br /> APPLICANT'S SIGNATURE <br />